| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
27,866 |
20,795 |
$3.99M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,255 |
6,982 |
$1.07M |
| A0433 |
Advanced life support, level 2 (als 2) |
231 |
180 |
$54K |
| A0425 |
Ground mileage, per statute mile |
12,487 |
10,215 |
$29K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
56 |
37 |
$566.00 |
| A0398 |
Als routine disposable supplies |
135 |
105 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
49 |
40 |
$0.00 |